Do Not Resuscitate (DNR) Indiana

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Where do you get the form

You should get the form from your physician or other medical professional. If you would like a blank form, click here.

Who is permitted to request a DNR

You can request a DNR if you have a terminal condition or a medical condition such that if you were to suffer a heart attack, resuscitation would be unsuccessful or within a short period of time you would suffer a repeated heart failure.

Who signs the form

The patient or his healthcare proxy, the patient’s physician and two witnesses must sign the form.

How do you obtain a DNR bracelet

You can purchase one through MedicAlert or other sellers of the same type of bracelet.

Revoking a DNR

The patient may revoke the DNR with a signed, dated writing, or by physical cancellation or destruction by the patient.